Individual provider Active NPI

Stephanie E Fletes, CNM-WHNP

  • Advanced Practice Midwife
  • Covina, CA
National Provider Identifier
1114801883
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236556 Issued in CA
Practice address
527 W Workman St
Covina, CA 91723-3342
Phone
(626) 627-3402
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95032144 CA
Advanced Practice Midwife 367A00000X 236556 CA Primary

Addresses

Primary practice location

527 W Workman St
Covina, CA 91723-3342

Mailing address

527 W Workman St
Covina, CA 91723-3342
Phone (626) 627-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95032144CAMDWomen's Health Nurse Practitioner
236556CAMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114801883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W WORKMAN ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233342",
            "telephone_number": "626-627-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W WORKMAN ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233342",
            "telephone_number": "626-627-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETES",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "CNM-WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95032144",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.